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Primary aortoenteric fistula following endovascular aortic repair due to type II endoleak.

Abstract：

:An 84-year-old female was lost to follow-up after endovascular aneurysm repair at another hospital with known type II endoleak. She later presented with presyncope and hematemesis. A referral center esophagogastroduodenoscopy showed possible duodenal diverticulum. She had recurrent symptoms and repeat computed tomography scan showed air within the aortic sac. At our center, she underwent stent graft explantation and axillofemoral reconstruction for a primary aortoenteric fistula. She was discharged and is doing well 5 months postoperatively. A high degree of suspicion for aortoenteric fistula is imperative in any patient with upper gastrointestinal hemorrhage after open or endovascular abdominal aortic aneurysm repair.

journal_name

J Vasc Surg

journal_title

Journal of vascular surgery

authors

McPhee JT,Soybel DI,Oram RK,Belkin M

doi

10.1016/j.jvs.2011.04.049

subject

Has Abstract

pub_date

2011-10-01 00:00:00

pages

1164-6

issue

4

eissn

0741-5214

issn

1097-6809

pii

S0741-5214(11)01044-5

journal_volume

54

pub_type

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